Derniers ajouts - Central Serous Retinopathy - Probably Steroid Induced 38-year-old man was in the office on May 6, 2010. He has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. You saw him and suggested that he come here for an evaluation.
He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50. IOP: OD 14, OS 13.
SLIT EXAMINATION: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. There is a serous macular detachment 2 disc-diameter across centered on the fovea. There is a pigment epithelial detachment on the inferior edge of the fovea.
OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy.
OCT SCAN: The OCT scan of the right eye shows a serous macular detachment. The left eye was normal. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows the left eye to be completely normal. The right eye has hyperfluorescence pigment epithelial detachment inferior to the fovea with no discernable leakage.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient he does have central serous retinopathy in the left eye. There is a 95% chance his vision will substantially improve over the next three to six months, if not it is possible to treat him if necessary, but it is rarely needed.
I did ask him to avoid steroids in the future unless absolutely necessary. He will return for a check in three months.
Follow-up: 3 months later macula was totally dry and serous RD had resolved.
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 540 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 455 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 485 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 487 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 468 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 458 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 492 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 494 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 514 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 579 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 658 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 563 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvu 521 fois38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.02 Septembre 2011
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38-year-old man was in the office on May 6, 2010. He has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. You saw him and suggested that he come here for an evaluation.
He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50. IOP: OD 14, OS 13.
SLIT EXAMINATION: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. There is a serous macular detachment 2 disc-diameter across centered on the fovea. There is a pigment epithelial detachment on the inferior edge of the fovea.
OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy.
OCT SCAN: The OCT scan of the right eye shows a serous macular detachment. The left eye was normal. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows the left eye to be completely normal. The right eye has hyperfluorescence pigment epithelial detachment inferior to the fovea with no discernable leakage.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient he does have central serous retinopathy in the left eye. There is a 95% chance his vision will substantially improve over the next three to six months, if not it is possible to treat him if necessary, but it is rarely needed.
I did ask him to avoid steroids in the future unless absolutely necessary. He will return for a check in three months.
Follow-up: 3 months later macula was totally dry and serous RD had resolved.
